NPI | 1477251833 |
---|---|
Former Name | KAYLA PENNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024189423) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001281003) |
Enumeration Date | 2023-02-15 |
Last Update Date | 2024-02-18 |